Healthcare Provider Details

I. General information

NPI: 1437187382
Provider Name (Legal Business Name): LINDA MORTON MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 08/09/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4467 CASCADE RD SE STE 4481
GRAND RAPIDS MI
49546-3776
US

IV. Provider business mailing address

4467 CASCADE RD SE STE 4481
GRAND RAPIDS MI
49546-3776
US

V. Phone/Fax

Practice location:
  • Phone: 616-443-0844
  • Fax: 616-281-0783
Mailing address:
  • Phone: 616-443-0844
  • Fax: 616-281-0783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801021045
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: